BirthCertificatePassports.com
7710 Eight Willows Road
Missouri City, TX.   77489
(888) 629-0087    (281) 416-9550    (281) 416-9554 Fax
Web: www.BirthCertificatePassports.com    
Email:  nanb06@yahoo.com
Specializing in Rush Passports, Visas for all Countries, and Certified Birth Certificates

INSTRUCTIONS FOR SAME / NEXT DAY SERVICE OF PASSPORTS
Once you have all of your information together you need to
Federal Express Priority Overnight it to the following address:


BirthCertificatePassports.com
7710 Eight Willows Road
Missouri City, TX.   77489
(888) 629-0087
NOTE : Please fill out the following information
and fax this sheet to
Also Send a copy with your passport information.


Name of Applicants:_____________________________________________


Maiden Name:___________________________________________________

Address to Return Passports: 		Address for Saturday Delivery: (if needed)

___________________________ ______________________________

___________________________
______________________________
Phone Numbers:_________________________________________________________________
Date of Birth:____________________________________________________________________
E-Mail:_________________________________________________________________________

Date of Departure:___________________
Date your package will arrive in our office:____________________________

Service Fees
Fee $ 139.00
Goverment Fee $ 115.00
Return Delivery Fee $ 17 or 27
Total $___________
US Government Fees (per person)
New / Lost Passport
(in sealed envelope)

$ 115.00 Adult

$100.00 Child
Renewal $115.00
Extra Pages $60.00
Name Change $60.00
Credit Card Number:
______________________________
Fees
Passport $149.00
Expires: _________________________
Signature _________________________
Return Delivery Fee :
Federal Express Weekday: $17.00
Federal Express Saturday $27.00
Airport to Airport $150.00
We only accept credit cards for Same / Next Day Passports.
By Faxing this form to , I understand there is a $25.00 cancellation fee for each passport.
or any of its agents our not responsible for mistakes or delays from passport offices, consulates, embassies travel agents, overnight courier services, or vital records departments. I understand that the passport office or above agencies can delay or deny passports, visas or birth certificates at their own disgression.